Patrick Michael McDonald, L.A.D.C.

Primary specialty

CounselorTaxonomy code 101Y00000X

License

302376 Issued in MN

Practice address

2055 White Bear Ave N
Maplewood, MN 55109-3716

Phone

(651) 209-0560

NPI assigned

Aug 11, 2011

Last updated

Aug 11, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1313020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313020800000",
    "number": "1710266481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2275 HENRY ST N",
            "city": "NORTH SAINT PAUL",
            "state": "MN",
            "postal_code": "551093337",
            "telephone_number": "651-278-2894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 WHITE BEAR AVE N",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551093716",
            "telephone_number": "651-209-0560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "PATRICK",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "L.A.D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-11",
        "last_updated": "2011-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MN",
            "license": "302376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Robert McConnell, MSW, LICSW
• Ashley McCormick
• Madysen Michelle McCormick
• Paul M McCormick, DO
• Stephen A McCue, MD
• Megan Lynn McEllistrem-Ramierez, DO
• Johanna McGough-Pose
• Ruth H McGowan, PA-C
• James M. McGreevy, M.D.
• Warren A McGuire, M.D.

• Counselor in Maplewood, MN
• Providers in Maplewood, MN by specialty
• Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.